Vashaw, Jonathan Kirk

Vashaw, Jonathan Kirk is an individual health care provider with primary practice located at 3801 S National Ave , Springfield MO 65807. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Vashaw, Jonathan Kirk can be contacted via phone (417) 269-6583.

Contact Information

Primary practice address
3801 S National Ave Springfield MO 65807
Phone: (417) 269-6583
Fax: (417) 269-6573
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R2549 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2012006657 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2018011405 Missouri

Profile Details

NPI number 1982752085
LBN Legal business name Vashaw, Jonathan Kirk
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Dec 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982752085 NPPES
Missouri MEDICAID 200058646
Missouri MEDICAID 1982752085

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